Courtney Smith, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT61691066 Issued in WA

Practice address

625 W Dryden Rd
Freeville, NY 13068-9746

Phone

(607) 319-2480

NPI assigned

Nov 22, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1558070193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 W DRYDEN RD",
            "city": "FREEVILLE",
            "state": "NY",
            "postal_code": "130689746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 W DRYDEN RD",
            "city": "FREEVILLE",
            "state": "NY",
            "postal_code": "130689746",
            "telephone_number": "607-319-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "COURTNEY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-22",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT61691066",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Daniel Shepherd
• William C Shepherd, M.D.
• David C. Silbert, M.D.
• Brandy C Simkin, RN
• Courtney Smith, LMSW
• Theresa Sornberger, LMT
• Jesselea Spears, MSW
• Karen Sue Stabler, LPN
• Roderic Stabler, L.P.N.
• Jaide Strauf, REGISTERED NURSE

• Physical Therapist in Freeville, NY
• Providers in Freeville, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.